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The Paradoxical Spiral Lyrics

Non-physical smothering. Asphyxiation by oxygen hands
Drowning in the endless sky. An ever-downward dive, only to surface
the sewage of indecision, on which all sense of self is afloat
The vortex-acceleration a constant. Resolute in purpose its choking flow
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Cover art for The Paradoxical Spiral lyrics by Meshuggah

The first line continues the theme of contradictions that runs through the album, and "the sewage of indecision, on which all sense of self is afloat," is a very vivid image. If "resolute in purpose its choking flow" refers to the sewage, then we're back to contradictions; other than all this, I don't see any separate meaning that can be extracted. The album is, after all, one long song; it would probably be best to interpret it all together.

 
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